What causes premenstrual dysphoric depression?

The exact cause isn’t fully understood, but it’s believed to be related to:

  • Hormonal fluctuations during the menstrual cycle (some are extremely sensitive to normal changes in estrogen and progesterone).
  • Serotonin dysregulation: Many women with PMDD have altered serotonin activity, a neurotransmitter closely tied to mood regulation.

–> My detailed premenstrual dysphoric disorder guide can be found here.

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